ClinicalTrials.gg
CompletedNCT05822128SOMNOLDUpdated Nov 27, 2023

Alternative Epworth Sleepiness Scale ESS-ALT in French

An observational study in Excessive Daytime Sleepiness, sponsored by Assistance Publique - Hôpitaux de Paris. Completed at 2 sites in France. Open to participants aged 65 Years and older. Per ClinicalTrials.gov, last updated 2023-11-27.

Sponsored by Assistance Publique - Hôpitaux de Paris · Observational

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Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
102
Ages
65 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-15

Among 30 studies in Disorders of Excessive Somnolence with a site in France — 9 open to participants now, 10 under way, 4 of them phase 3. Disorders of Excessive Somnolence · France.

Started
2023
the only one that year
Observational
6 of 30
1 open now
Registered
18th of 30
by date
Lead sponsor
2 of 30
Assistance Publique - Hôpitaux de Paris

Among the 30 studies in Disorders of Excessive Somnolence with a site in France, this one is the only one that started in 2023, is one of 6 observational ones, and was the 18th registered.

Disorders of Excessive Somnolence

196 studies on the registry are indexed under Disorders of Excessive Somnolence; 34 are open to participants now.

Browse Disorders of Excessive Somnolence studies →

Open to participants now

9 of the 30 studies in Disorders of Excessive Somnolence with a site in France are open now. Recruiting first, the newest first:

4 more — sign in →

All 9 open studies →

A study can be open while its sites in France have not opened yet or have stopped. Only those recruiting at a site in France →

Who these studies take

Of the 30 Disorders of Excessive Somnolence studies recruiting now, 12 (40%) set no upper age limit and 17 (57%) stop at 75 or younger; 5 take children under 18; 7 take healthy volunteers.

This study: 65 Years and older · all sexes · no healthy volunteers.

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02

Study summary

The Epworth Sleepiness Scale (ESS) is undoubtedly the most commonly used tool in daily clinical practice to assess daytime sleepiness in patients of all ages by means of a self-administered questionnaire.

In elderly subjects, the clinician is often confronted with difficulties in accurately estimating the ESS score and measuring subjective daytime sleepiness. Indeed, according to Onen et al, the ESS tends to underestimate the prevalence of sleep disorders in the geriatric population, mainly due to non-response to problematic items, namely:

  • Item 3: Sitting, inactive in a public place (cinema, theater, meeting)
  • Item 8: In a car that has been stopped for a few minutes.

In order to overcome this problem, Janine Gronewold's German team has developed and begun work on the validation of an alternative version of the ESS, the ESS-ALT, adapted to the population of interest, in German.

The aim of the present work is to adapt the ESS-ALT in French, then to study its correlation with sleep data recorded by nocturnal polysomnography, and among the secondary objectives, to correlate it with sleep latency during iterative sleep latency tests, in order to propose to the clinician a simple, reproducible tool, allowing to measure daytime sleepiness in elderly subjects.

Read the detailed description

Developed in 1991 by Dr. Johns at the University of Melbourne and modified by him in 1997, the Epworth Sleepiness Scale (ESS) is undoubtedly the most commonly used tool in daily clinical practice to assess daytime sleepiness in patients of all ages by means of a self-administered questionnaire.

In elderly subjects, the clinician is often confronted with difficulties in accurately estimating the ESS score and measuring subjective daytime sleepiness. Indeed, according to Onen et al, the ESS tends to underestimate the prevalence of sleep disorders in the geriatric population, mainly due to non-response to problematic items, namely:

  • Item 3: Sitting, inactive in a public place (cinema, theater, meeting)
  • Item 8: In a car that has been stopped for a few minutes.

In order to overcome this problem, Janine Gronewold's German team has developed and begun work on the validation of an alternative version of the ESS, the ESS-ALT, adapted to the population of interest, in German.

The aim of the present work is to adapt the ESS-ALT in French, then to study its correlation with sleep data recorded by nocturnal polysomnography, and among the secondary objectives, to correlate it with sleep latency during iterative sleep latency tests, in order to propose to the clinician a simple, reproducible tool, allowing to measure daytime sleepiness in elderly subjects

03

Conditions studied

  • Excessive Daytime Sleepiness

Keywords

  • Excessive daytime sleepiness
  • Elderly
  • Epworth Sleepiness Scale
04

Who can participate

Ages eligible
65 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

Seniors with suspected sleep disorders referred for assessment

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Patient 65 years of age and older
  • Consulting for sleep disorders
  • Enrolled in a social security system or entitled to it
  • Patient informed and having expressed his non-opposition to participate in the research

Exclusion criteria

Exclusion Criteria:

  • Severe psychiatric or cognitive disorders that do not allow the completion of examinations/questionnaires
  • Patients who are dependent for all acts of daily life
  • Patients with a very short
  • Patients under guardianship or curatorship
  • Patients under AME
  • Patients whose first language is not French
  • Patients with visual or cognitive impairments that make reading impossible
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
102 participants (actual)
Patient registry
No

Groups and cohorts

  • Seniors with suspected sleep disorders referred for assessment

    Seniors with suspected sleep disorders referred for assessment

    Other: Test of an alternative Epworth Sleepiness Scale ESS-ALT in French

Interventions

  • OtherTest of an alternative Epworth Sleepiness Scale ESS-ALT in French

    Seniors recruited into the study will test the Epworth Alternate Sleepiness Scale -ALT

06

What researchers measure

Primary outcomes

  1. Validation of the alternative Epworth Daytime Sleepiness Scale -ALT adapted to the elderly and geriatric population in French

    forward and backward translation" between English and French, and correlation with the ESS sleepiness scale.

    Time frame: 24 hours

Secondary outcomes

  1. Study of the correlation between the results of the French ESS-ALT and polysomnography data

    Statistical comparison to identify the intrinsic validity of the ESS-ALT

    Time frame: 24 hours

  2. Study of the correlation between the results of the French ESS-ALT and MSLT (Multiple Sleep Latency Test) data

    Statistical comparison to identify the intrinsic validity of the ESS-ALT

    Time frame: 24 hours

  3. intrinsic validity of the ESS-ALT in French

    Statistical comparison to identify the intrinsic validity of the ESS-ALT

    Time frame: 24 months

  4. Study of the correlation between the ESS-ALT cohort in French and the ESS-ALT cohort in Germany

    Statistical comparison to identify the intrinsic validity of the French version of ESS-ALT

    Time frame: 24 months

07

Study locations

2 sites
  • Hospital Charles Foix
    Ivry-sur-Seine, 94205, France
  • service des pathologies du sommeil, hôpital Pitié Salpêtrière
    Paris, 75013, France
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Jun 2023 to primary completion in Oct 2023, 3 months.

How these figures are worked out, and which studies are left out of them.

Registered
Mar 27, 2023
First posted
Apr 20, 2023
StartActual
Jun 28, 2023
Primary completionActual
Oct 19, 2023
CompletionActual
Oct 20, 2023
Last update
Nov 27, 2023
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Nov 27, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT05822128
Responsible party
Sponsor
First posted
Apr 20, 2023
Start date
Jun 28, 2023
Primary completion
Oct 19, 2023
Completion
Oct 20, 2023
Last update
Nov 27, 2023

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Nov 2023. You cannot join it, but the record below documents what was studied.

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